Maristhill

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

RN265921 Issued in MA

Legal business name

MARISTHILL

Practice address

49 West Ave
Brockton, MA 02301-3068

Phone

(508) 345-7129

NPI assigned

Jan 30, 2017

Last updated

Jan 30, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marie Nadege Buissereth, FNP

Title

Family Nurse Practitioner

Phone

(508) 345-7129

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1841737723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WEST AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WEST AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013068",
            "telephone_number": "508-345-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISTHILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "BUISSERETH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "NADEGE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "508-345-7129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "RN265921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Claire Marcoux, PA-C
• Jilaine Alyse Marder Morales, R.N.
• Maria L Segura DMD, PC
• Joseph A Marino, DMD
• Myrto Marinou, MD
• Perpetia Marius
• Jaimie Markey, LICSW
• Caitlin Alexandra Marquis, ED.M
• Patrick Marron, LPN
• Lisa Beth Marsella, RPH

• Skilled Nursing Facility in Brockton, MA
• Providers in Brockton, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.